Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,047.13 / $3,311.31	Facility		$691.83	$1,047.13	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $891.25	Professional		$446.68	$588.84	$891.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $741.31 / $3,467.37	Facility		$660.69	$741.31	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,258.93	Professional		$588.84	$741.31	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $75.86	Professional		$44.67	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $1,288.25	Facility		$660.69	$812.83	$1,288.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,288.25 / $2,238.72	Facility		$741.31	$1,288.25	$2,238.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $891.25	Professional		$660.69	$660.69	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $831.76	Professional		$309.03	$309.03	$831.76